title: Bridge use of endovascular repair and delayed open operation for infected aneurysm of aortic arch.
abstract: We present the first clinical report of the successful treatment of an infected thoracic aortic arch aneurysm with the use of endovascular repair as a bridge to second-stage open operation. A 70-year-old patient underwent urgent endovascular repair through the right femoral approach because of a diagnosis of sepsis and impending rupture of an infected thoracic aortic arch aneurysm. After 2 weeks of medical treatment, we successfully performed explantation of the stent graft, wide debridement of the surrounding tissue, and in-situ replacement using a rifampicin-bonded four-branched prosthetic graft with omental flap.
authors.affiliation: Division of Cardiac Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan. Electronic address: tamuken0801@yahoo.co.jp.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Tamura
authors.affiliation: Division of Cardiac Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan.
authors.forename: Hidenori
authors.initials: H
authors.lastname: Yoshitaka
authors.affiliation: Division of Cardiac Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan.
authors.forename: Toshinori
authors.initials: T
authors.lastname: Totsugawa
authors.affiliation: Division of Cardiac Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan.
authors.forename: Yoshimasa
authors.initials: Y
authors.lastname: Tsushima
authors.affiliation: Division of Cardiac Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan.
authors.forename: Genta
authors.initials: G
authors.lastname: Chikazawa
authors.affiliation: Division of Cardiac Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan.
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Ohno
authors.affiliation: Division of Cardiac Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan.
authors.forename: Taichi
authors.initials: T
authors.lastname: Sakaguchi
mesh_terms: D000368:Aged; D000785:Aneurysm, Infected / Q000150:complications / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D003131:Combined Modality Therapy; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D013997:Time Factors; D014656:Vascular Surgical Procedures
keywords: 26